North Kansas City · Licensed center

Board of Trustees of North Kansas City Hospital

Large center, licensed for 196 children.
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What the state has found

The state cited rules at all 11 of its licensing inspections since January 2024.

Of the 136 Kansas City-area centers with 10 or more licensing inspections, 57% had rules cited at all of them, as this center did.

Licensing inspections

Jun 29, 20263 citations

“Hazardous items as follows were accessible to children: bleach water. The item(s) was/were located unlocked closet in the Wharf room.”
5 CSR 25-500.082 (1) (I)
“1 child(ren) records did not include date care begins and ends.”
5 CSR 25-500.222 (2) (A)
“1 child(ren) records did not include address of another individual who might be reached in an emergency.”
5 CSR 25-500.222 (2) (C)

Feb 10, 20264 citations

“The walls located Roost was/were not clean as evidenced by sticky residue behind the little blue chair.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located Jungle was/were not in good condition as evidenced by chipping paint by the potted plant.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located in Shelter 2 was/were not clean as evidenced by sticky residue by the mirror.”
5 CSR 25-500.082 (2) (A) 6.
“Furniture/equipment, play drawers, in Rufflemutts was not free of loose parts as evidenced by drawer handles were not secure.”
5 CSR 25-500.092 (1) (A) 1.

Jan 29, 20265 citations

“The walls located in Shelter 2 was/were not clean as evidenced by sticky residue by the mirror.”
5 CSR 25-500.082 (2) (A) 6.
“The bathroom was not clean and odor free as evidenced by the toilet was soiled.”
5 CSR 25-500.082 (3) (A) 7.
“The walls located Roost was/were not clean as evidenced by sticky residue behind the little blue chair.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located Jungle was/were not in good condition as evidenced by chipping paint by the potted plant.”
5 CSR 25-500.082 (2) (A) 6.

1 more from this inspection

“Furniture/equipment, play drawers, in Rufflemutts was not free of loose parts as evidenced by drawer handles were not secure.”
5 CSR 25-500.092 (1) (A) 1.

Jan 5, 202614 citations

“The annual fire safety inspection was not approved.”
5 CSR 25-500.052 (2) (A)
“The walls located Rufflemutts room was/were not in good condition as evidenced by chipping paint.”
5 CSR 25-500.082 (2) (A) 6.
“The floors located in Space class bathroom was/were not in good condition as evidenced by peeling tape.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located Hut 2 was/were not in good condition as evidenced by chipping paint by changing table.”
5 CSR 25-500.082 (2) (A) 6.

10 more from this inspection

“There was evidence of dirt/debris in in the Rufflemutt bathroom where the cots are stacked.”
5 CSR 25-500.082 (2) (A) 9.
“The facility's outdoor space was not safe for children's activities as evidenced by weeds on the Toddler playground.”
5 CSR 25-500.082 (6) (A) 4.
“The facility's outdoor space was not safe for children's activities as evidenced by Threes playground has exposed tree roots causing a tripping hazard.”
5 CSR 25-500.082 (6) (A) 4.
“The provider did not provide resilient material necessary for the protection of children as evidenced by areas of bare ground are in the Toddler, Twos and Threes playground.”
5 CSR 25-500.082 (6) (A) 6.
“Furniture/equipment, Couch, in older common area was not in good condition as evidenced by has a rip in the upholstery on the arm.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, Cubbies, in Wharf room was not in good condition as evidenced by chipped laminate exposing particle board.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, Cabinet, in Older Commons was not in good condition as evidenced by chipped laminate exposing the particle board.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, shelf, in the Wharf room was not in good condition as evidenced by chipped laminate at the bottom exposing particle board.”
5 CSR 25-500.092 (1) (A) 1.
“The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sink in play unit in the Space class has chipping paint.”
5 CSR 25-500.092 (2) (A) 1.
“The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mats in older common area have torn vinyl.”
5 CSR 25-500.092 (2) (A) 1.

Jun 23, 202526 citations

“The annual fire safety inspection was not approved.”
5 CSR 25-500.052 (2) (A)
“Hazardous items as follows were accessible to children: Container of lotions and diaper creams. The item(s) was/were located in Shelter 2 by the changing table.”
5 CSR 25-500.082 (1) (I)
“The walls located Hut 2 was/were not in good condition as evidenced by chipping paint by changing table.”
5 CSR 25-500.082 (2) (A) 6.
“There was evidence of dirt/debris in in the Rufflemutt bathroom where the cots are stacked.”
5 CSR 25-500.082 (2) (A) 9.

22 more from this inspection

“The facility's outdoor space was not safe for children's activities as evidenced by Threes playground has exposed tree roots causing a tripping hazard.”
5 CSR 25-500.082 (6) (A) 4.
“The provider did not provide resilient material necessary for the protection of children as evidenced by areas of bare ground are in the Toddler, Twos and Threes playground.”
5 CSR 25-500.082 (6) (A) 6.
“The walls located Rufflemutts room was/were not in good condition as evidenced by chipping paint.”
5 CSR 25-500.082 (2) (A) 6.
“The floors located in Space class bathroom was/were not in good condition as evidenced by peeling tape.”
5 CSR 25-500.082 (2) (A) 6.
“Hazardous items as follows were accessible to children: Container of diaper creams. The item(s) was/were located in Shelter 3 by the changing table.”
5 CSR 25-500.082 (1) (I)
“Hazardous items as follows were accessible to children: Sunscreen. The item(s) was/were located in the Wharf room on top of a wall partition.”
5 CSR 25-500.082 (1) (I)
“Hazardous items as follows were accessible to children: E6000 adhesive. The item(s) was/were located unlocked drawer in Rufflemuttts room.”
5 CSR 25-500.082 (1) (I)
“Children were not restricted to approved space as evidenced by Kitchen door was standing open.”
5 CSR 25-500.082 (1) (C)
“Children were not restricted to approved space as evidenced by adutt restroom door was standing open.”
5 CSR 25-500.082 (1) (C)
“Children were not restricted to approved space as evidenced by Staff room door was standing open.”
5 CSR 25-500.082 (1) (C)
“The facility's outdoor space was not safe for children's activities as evidenced by weeds on the Toddler playground.”
5 CSR 25-500.082 (6) (A) 4.
“Furniture/equipment, shelf, in the Wharf room was not in good condition as evidenced by chipped laminate at the bottom exposing particle board.”
5 CSR 25-500.092 (1) (A) 1.
“Sleeping equipment was not arranged to provide required spacing as evidenced by the aisle on the long side of the napping equipment was too narrow - the space measured 10 inches.”
5 CSR 25-500.092
“The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mats in older common area have torn vinyl.”
5 CSR 25-500.092 (2) (A) 1.
“Furniture/equipment, Cubbies, in Wharf room was not in good condition as evidenced by chipped laminate exposing particle board.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, Cabinet, in Older Commons was not in good condition as evidenced by chipped laminate exposing the particle board.”
5 CSR 25-500.092 (1) (A) 1.
“The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sink in play unit in the Space class has chipping paint.”
5 CSR 25-500.092 (2) (A) 1.
“Furniture/equipment, Couch, in older common area was not in good condition as evidenced by has a rip in the upholstery on the arm.”
5 CSR 25-500.092 (1) (A) 1.
“A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: K.W.”
5 CSR 25-500.102
“One child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)
“One child(ren) records did not include address of another individual who might be reached in an emergency.”
5 CSR 25-500.222 (2) (C)
“One child(ren) records did not include employers' address of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)

Mar 7, 20254 citations

“The walls located in The Space was/were not in good condition as evidenced by adhesive residue.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located in The Jungle was/were not in good condition as evidenced by adhesive residue.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located in the Wharf was/were not in good condition as evidenced by chipped laminate exposing the particle board.”
5 CSR 25-500.082 (2) (A) 6.
“Furniture/equipment, chair, in The Rufflemutt room was not in good condition as evidenced by broken zipper on seat cover exposing foam insert..”
5 CSR 25-500.092 (1) (A) 1.

Jan 22, 20256 citations

“Hazardous items as follows were accessible to children: Diaper cream and butt paste. The item(s) was/were located Jungle Room on changing table.”
5 CSR 25-500.082 (1) (I)
“The walls located in the Wharf was/were not in good condition as evidenced by chipped laminate exposing the particle board.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located in The Space was/were not in good condition as evidenced by adhesive residue.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located in The Jungle was/were not in good condition as evidenced by adhesive residue.”
5 CSR 25-500.082 (2) (A) 6.

2 more from this inspection

“Hazardous items as follows were accessible to children: Adult scissors. The item(s) was/were located in Hut 3 in an unlocked drawer.”
5 CSR 25-500.082 (1) (I)
“Furniture/equipment, chair, in The Rufflemutt room was not in good condition as evidenced by broken zipper on seat cover exposing foam insert..”
5 CSR 25-500.092 (1) (A) 1.

Jul 23, 20247 citations

“The walls located The Roost was/were not in good condition as evidenced by Adhesive residue on the wall.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located Shelter 1 was/were not in good condition as evidenced by adhesive residue on the wall.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located The Space was/were not in good condition as evidenced by sticky residue.”
5 CSR 25-500.082 (2) (A) 6.
“The facility's outdoor space was not safe for children's activities as evidenced by piece of wood sticking out of the ground causing a tripping hazard.”
5 CSR 25-500.082 (6) (A) 4.

3 more from this inspection

“Furniture/equipment, gray shelf, in The Roost was not in good condition as evidenced by adhesive residue on the back.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, chair, in The Wharf was not in good condition as evidenced by holes in vinyl covering.”
5 CSR 25-500.092 (1) (A) 1.
“Outdoor equipment, flower, in younger playground was not free of sharp parts as evidenced by flower has cracked in the middle leaving a jagged edge.”
5 CSR 25-500.092 (3) (A)

Jun 11, 202412 citations

“The walls located The Space was/were not in good condition as evidenced by sticky residue.”
5 CSR 25-500.082 (2) (A) 6.
“The facility's outdoor space was not safe for children's activities as evidenced by piece of wood sticking out of the ground causing a tripping hazard.”
5 CSR 25-500.082 (6) (A) 4.
“The walls located The Roost was/were not in good condition as evidenced by Adhesive residue on the wall.”
5 CSR 25-500.082 (2) (A) 6.
“The walls located Shelter 1 was/were not in good condition as evidenced by adhesive residue on the wall.”
5 CSR 25-500.082 (2) (A) 6.

8 more from this inspection

“Furniture/equipment, chair, in The Wharf was not in good condition as evidenced by holes in vinyl covering.”
5 CSR 25-500.092 (1) (A) 1.
“Outdoor play equipment had yellow material tied in a knot near the bottom that might entrap, close or tighten upon a child.”
5 CSR 25-500.092 (3) (I)
“Outdoor equipment, flower, in younger playground was not free of sharp parts as evidenced by flower has cracked in the middle leaving a jagged edge.”
5 CSR 25-500.092 (3) (A)
“Furniture/equipment, gray shelf, in The Roost was not in good condition as evidenced by adhesive residue on the back.”
5 CSR 25-500.092 (1) (A) 1.
“Three child(ren) records did not include work telephone number of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)
“Three child(ren) records did not include work schedule of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)
“Three child(ren) records did not include employers' address of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)
“one child(ren) records did not include employers' name of parent(s), guardian or legal custodian.”
5 CSR 25-500.222 (2) (B)

Feb 2, 20243 citations

“Furniture/equipment, couch, in The Rufflemutt room was not in good condition as evidenced by torn vinyl in seat and arms of couch.”
5 CSR 25-500.092 (1) (A) 1.
“Furniture/equipment, cabinet, in Hut 3 was not in good condition as evidenced by adhesive residue on front of cabinet.”
5 CSR 25-500.092 (1) (A) 1.
“Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.”
5 CSR 25-500.092

Jan 11, 20248 citations

“Children were not restricted to approved space as evidenced by the doors to the kitchenette were open in the Jungle room.”
5 CSR 25-500.082 (1) (C)
“Hazardous items as follows were accessible to children: Super Glue. The item(s) was/were located in unlocked drawer in The Wharf room.”
5 CSR 25-500.082 (1) (I)
“Hazardous items as follows were accessible to children: white out and adult scissors. The item(s) was/were located in an unlocked drawer and on a desk accessible to children.”
5 CSR 25-500.082 (1) (I)
“Hazardous items as follows were accessible to children: Adult scissors, white out, E3000 adhesive. The item(s) was/were located in an unlocked drawer in the Rufflemutt room.”
5 CSR 25-500.082 (1) (I)

4 more from this inspection

“Children were not restricted to approved space as evidenced by the office half door was open in the Jungle room allowing access to a teacher's bag.”
5 CSR 25-500.082 (1) (C)
“Furniture/equipment, cabinet, in Hut 3 was not in good condition as evidenced by adhesive residue on front of cabinet.”
5 CSR 25-500.092 (1) (A) 1.
“Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a non-fitted sheet was used.”
5 CSR 25-500.092
“Furniture/equipment, couch, in The Rufflemutt room was not in good condition as evidenced by torn vinyl in seat and arms of couch.”
5 CSR 25-500.092 (1) (A) 1.

Read every record and the state’s reports

State record — Missouri DESE Office of Childhood

Last visit: June 29, 2026
On file: 11 visits since January 2024 — all of them cited findings
Fixed?: The latest correction deadline was June 29, 2026. Missouri DESE Office of Childhood does not publish whether it was made.
Most serious: Missouri DESE Office of Childhood does not publish a severity level for a citation, so there is no most-serious to name.

Missouri DESE marks every rule section of an inspection Compliance, Violation or Not Observed, and for each violation publishes the inspector’s observation, the rule quoted in full, the correction required and a deadline. A complaint investigation is published where the state substantiated a rule violation, with its disposition.

Jun 2026 Compliance monitoring visit 3 findings

Compliance monitoring visit · June 29, 2026

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 29, 2026

Hazardous items as follows were accessible to children: bleach water. The item(s) was/were located unlocked closet in the Wharf room.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.222 (2) (A) · Records and Reports · Correction due June 29, 2026

1 child(ren) records did not include date care begins and ends.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.222 (2) (C) · Records and Reports · Correction due June 29, 2026

1 child(ren) records did not include address of another individual who might be reached in an emergency.

Required correction: Child enrollment information shall be completed and on file as required.

State licensing record

Feb 2026 Compliance verification visit 4 findings

Compliance verification visit · February 10, 2026

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 6, 2026

The walls located Roost was/were not clean as evidenced by sticky residue behind the little blue chair.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 6, 2026

The walls located Jungle was/were not in good condition as evidenced by chipping paint by the potted plant.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 6, 2026

The walls located in Shelter 2 was/were not clean as evidenced by sticky residue by the mirror.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due February 6, 2026

Furniture/equipment, play drawers, in Rufflemutts was not free of loose parts as evidenced by drawer handles were not secure.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

State licensing record

Jan 2026 Compliance monitoring visit 5 findings

Compliance monitoring visit · January 29, 2026

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Shelter 2 was/were not clean as evidenced by sticky residue by the mirror.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (3) (A) 7. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 29, 2026

The bathroom was not clean and odor free as evidenced by the toilet was soiled.

Required correction: Bathrooms shall be clean and odor free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Roost was/were not clean as evidenced by sticky residue behind the little blue chair.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Jungle was/were not in good condition as evidenced by chipping paint by the potted plant.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, play drawers, in Rufflemutts was not free of loose parts as evidenced by drawer handles were not secure.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

State licensing record

Jan 2026 Compliance verification visit 14 findings

Compliance verification visit · January 5, 2026

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due September 23, 2025

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The walls located Rufflemutts room was/were not in good condition as evidenced by chipping paint.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The floors located in Space class bathroom was/were not in good condition as evidenced by peeling tape.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The walls located Hut 2 was/were not in good condition as evidenced by chipping paint by changing table.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

There was evidence of dirt/debris in in the Rufflemutt bathroom where the cots are stacked.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The facility's outdoor space was not safe for children's activities as evidenced by weeds on the Toddler playground.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The facility's outdoor space was not safe for children's activities as evidenced by Threes playground has exposed tree roots causing a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 25, 2025

The provider did not provide resilient material necessary for the protection of children as evidenced by areas of bare ground are in the Toddler, Twos and Threes playground.

Required correction: Appropriate type, depth and fall zone area of resilient material shall be provided for the protection of children.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

Furniture/equipment, Couch, in older common area was not in good condition as evidenced by has a rip in the upholstery on the arm.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

Furniture/equipment, Cubbies, in Wharf room was not in good condition as evidenced by chipped laminate exposing particle board.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

Furniture/equipment, Cabinet, in Older Commons was not in good condition as evidenced by chipped laminate exposing the particle board.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

Furniture/equipment, shelf, in the Wharf room was not in good condition as evidenced by chipped laminate at the bottom exposing particle board.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by sink in play unit in the Space class has chipping paint.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due September 25, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by mats in older common area have torn vinyl.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

State licensing record

Jun 2025 Compliance monitoring visit 26 findings

Compliance monitoring visit · June 23, 2025

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 23, 2025

Hazardous items as follows were accessible to children: Container of lotions and diaper creams. The item(s) was/were located in Shelter 2 by the changing table.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located Hut 2 was/were not in good condition as evidenced by chipping paint by changing table.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in in the Rufflemutt bathroom where the cots are stacked.

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by Threes playground has exposed tree roots causing a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (6) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers